Individual provider Active NPI

Mark Lee Mullens, MD

  • Cardiovascular Disease Physician
  • Alabaster, AL
National Provider Identifier
1114904679
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20944 Issued in AL
Practice address
1022 1St St N
Suite 500
Alabaster, AL 35007-8706
Phone
(205) 663-5775
Fax
(205) 664-2112
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20944 AL Primary

Addresses

Primary practice location

1022 1St St N
Suite 500
Alabaster, AL 35007-8706

Mailing address

1022 1St St N
Suite 500
Alabaster, AL 35007-8706
Phone (205) 663-5775

Other identifiers 1

IdentifierTypeStateIssuer
009994255MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000692 AL Practitioner - Cardiovascular Disease (Cardiology) 0648172833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Alabama School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart South Cardiovascular Group, P.C.Group PAC ID 3476455668, 22 clinicians

Practice addresses (Care Compare)

2022 Brookwood Med Ctr
Suite 412
Birmingham, AL 35209-2613
Phone (205) 877-2838

Hospital & facility affiliations

  • Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016
  • St Vincent'S Chilton Hospital, Clanton, AL, CCN 010173

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20944ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Heart South Cardiovascular Group, P.C. Cardiovascular Disease CurrentSince Jan 1, 2003 Accepting new patients
Cardiovascular Associates of North Alabama, P.C. Cardiovascular Disease Past Accepting new patients

Locations

1022 1st St N
Ste 500
Alabaster, AL 35007
Phone (205) 663-5775

2022 Brookwood Medical Ctr Dr
Ste 412
Birmingham, AL 35209
Phone (205) 870-4343

2034 Lay Dam Rd
Ste 102
Clanton, AL 35045
Phone (205) 663-5775

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

206 Medical Center Dr
Clanton, AL 35045
Phone (205) 287-3900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1114904679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 1ST ST N",
            "address_2": "SUITE 500",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078706",
            "telephone_number": "205-663-5775",
            "fax_number": "205-664-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 1ST ST N",
            "address_2": "SUITE 500",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078706",
            "telephone_number": "205-663-5775",
            "fax_number": "205-664-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENS",
        "first_name": "MARK",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "20944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009994255",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.